神经肌肉监测在儿科麻醉中的应用：中国的一项调查。
Application of Neuromuscular Monitoring in Pediatric Anesthesia: A Survey in China.
机构信息
Department of Anesthesiology, West China Hospital, Sichuan University and The Research Units of West China, Chinese Academy of Medical Sciences, Chengdu, China.
Department of Anesthesiology, Sichuan Provincial Academy of Medical Sciences and Sichuan Provincial People's Hospital, Chengdu, China.
出版信息
J Perianesth Nurs. 2020 Dec;35(6):658-660.e1. doi: 10.1016/j.jopan.2020.03.001. Epub 2020 Jul 20.
PURPOSE
To determine the popularity of neuromuscular monitoring in pediatric anesthesia.
DESIGN
Self-filled electronic questionnaire survey.
METHODS
Anesthesiologists were notified through a professional network platform of anesthesiology by mobile phone. The survey deadline was December 23, 2019.
FINDINGS
A total of 883 valid questionnaires were collected. A total of 738 (83%) anesthesiologists stated that they had never used neuromuscular monitoring in pediatric anesthesia, and 638 (72%) anesthesiologists stated that they were not equipped with neuromuscular monitors. A total of 869 (98.75%) anesthesiologists had used neostigmine, but only 291 (33%) anesthesiologists reported routine postoperative administration for the reversal of neuromuscular block.
CONCLUSIONS
Neuromuscular monitoring in pediatric anesthesia needs to be further popularized. However, how to effectively and safely use neuromuscular antagonists are also important issues that require attention from anesthesiologists.
目的
确定神经肌肉监测在儿科麻醉中的普及程度。
设计
自我填写的电子问卷调查。
方法
通过麻醉学专业网络平台以手机短信的形式向麻醉医生发送通知。调查截止日期为 2019 年 12 月 23 日。
结果
共收集到 883 份有效问卷。共有 738 名（83%）麻醉医生表示从未在儿科麻醉中使用过神经肌肉监测，638 名（72%）麻醉医生表示未配备神经肌肉监测仪。共有 869 名（98.75%）麻醉医生使用过新斯的明，但只有 291 名（33%）麻醉医生报告常规术后给予神经肌肉阻滞剂逆转。
结论
神经肌肉监测在儿科麻醉中需要进一步普及。然而，如何有效地和安全地使用神经肌肉拮抗剂也是麻醉医生需要关注的重要问题。
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